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Monday, October 18, 2004 - 11:15 AM
3

Immunization registry costs and funding sources: a national sample, 1998-2002

Diana Bartlett1, Noelle-Angelique Molinari2, Margaret S. Coleman2, and Richard A. Schieber3. (1) NIP/ISD/IRSB, Centers for Disease Control & Prevention, 1600 Clifton Road N.E, MS E-62, Atlanta, GA, USA, (2) NIP/HSREB, CDC, 1600 Clifton Road, NE, MS-E52, Atlanta, GA, USA, (3) NIP/ISD/HSREB, CDC, 1600 Clifton Rd, MS E-52, Atlanta, GA, USA


BACKGROUND:
In 1999, the National Vaccine Advisory Committee recommended that the Centers for Disease Control and Prevention (CDC) characterize the costs of, as well as the available funding sources available to, immunization registries.

OBJECTIVE:
Describe development and operating costs of immunization information systems, funding sources used, and factors influencing system expenditures.

METHOD:
A national randomized-stratified sample was created of 24 out of 56 states/cities that received federal immunization grants and completed the CDC/NIP 1999 Immunization Registry Annual Report. Expenditure and qualitative data were collected for the calendar years of 1998-2002. Dollar values were adjusted to 2002 using the U.S. city average all item Consumer Price Index. The sample was classified according to object class definitions developed by the federal Office of Management and Budget and analyzed using NLogit software version 3.0.2.

RESULT:
The estimated mean annual immunization registry cost was $1,049,422; median cost was $873,277. Annual costs ranged from $33,238 to $5.3 million, including an estimated mean annual labor cost of $426,534 (about 41% of total costs) that included a mean 7.0 staff FTE. Approximately 43% of the costs were assigned to registry development. Federal and state funding sources contributed 61% and 24% respectively. Preliminary cost models suggest that costs are significantly influenced by the degree to which registry functional standards are achieved and by the extent of registry participation of children and providers.

CONCLUSION:
Development and maintenance of registries depends on state and federal funding. The large variance in costs among states deserve more detailed investigation to determine whether costs can be reduced by applying a best practice model.

LEARNING OBJECTIVES:
Characterize costs to develop and operate immunization information systems, funding sources available, and factors influencing system expenditures.

[ Recorded presentation ]   Recorded presentation

See more of Costs and Cost Savings to Providers and States when Using Immunization Registries
See more of The 2004 Immunization Registry Conference